Skip to main content
SpringerLink
Log in

Laparoscopic hernioplasty

TAPP vs TEP

  • Original Articles
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

This study compares the results of two laparoscopic hernioplasties: the transabdominal preperitoneal (TAPP) and the totally extraperitoneal (TEP). Over a 43-month period 1,115 laparoscopic hernioplasties, 733 TAPP and 382 TEP, were performed in 866 patients. There were 11 major complications in the TAPP group (2 recurrences, 6 trocar hernias, 1 small-bowel obstruction, 1 trocar, and 1 dissection injury of the small bowel) compared to 1 recurrence and no intraperitoneal complications in the TEP group. Five TEP procedures required conversion to the TAPP approach, resulting in one umbilical hernia. The median time to return to work did not vary with the approach, but was prolonged in patients compensated for time off, 16 vs 8 days for noncompensated patients.

Results suggested that both techniques shortened recovery and eliminated most early failures, but the totally extraperitoneal approach reduced the potential for intraperitoneal complications and may be the procedure of choice in most situations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bassini E (1887) Nuovo Metodo Sulla Cura Radicale dell' Ernia Inguinale. Arch Soc Ital Chir 4: 380

    Google Scholar 

  2. Conceptualization and measurements of physiological health for adults (1983) Sel Rand Abstr 211: 25

    Google Scholar 

  3. Felix E, Michas C (1993) The double-buttress laparoscopic herniorrhaphy. J Laparoendosc Surg 1: 1–8

    Google Scholar 

  4. Felix EL, Michas CA, McKnight RL (1994) Laparoscopic herniorrhaphy transabdominal preperitoneal floor repair. Surg Endosc 8: 100–104

    Google Scholar 

  5. Ger R, Monroe K, Duvivier R, Mishrick A (1990) Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg 159: 371–373

    Google Scholar 

  6. Glassow F (1970) Recurrent inguinal and femoral hernia. Br Med J 1: 215–219

    Google Scholar 

  7. Fitzgibbons R, Camps J, Comet D, Nguyen N, Litke B, Annibali R, Salerno G (1995) Laparoscopic inguinal herniorrhaphy results of a multicenter trial. Ann Surg 221: 1, 3–13

    Google Scholar 

  8. Nyhus L (1989) Recurrent groin hernia. World J Surg 13: 541–544

    Google Scholar 

  9. McKernan JB, Laws HL (1993) Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 7: 26–28

    Google Scholar 

  10. Nyhus LM, Pollak R, Bombeck CT, Donohue P (1988) The preperitoneal approach and prosthetic buttress repair for recurrent hernia. Ann Surg 208: 722–727

    Google Scholar 

  11. Obney N (1956) Hydroceles of the testicle complicating inguinal hernias. Can Med Assoc J 75: 733–736

    Google Scholar 

  12. Phillips E, Arregui M, Carrol J, Corbitt J, Crafton W, Fallas M, Fillipi C, Fitzgibbons R, Franklin M, McKernan B, Olsen D, Ortega A, Payne J, Peters J, Rodriquez R, Rosette P, Shultz L, Seid A, Sewell R, Smoot R, Toy R, Waddell K, Watson S, (1995) Incidence of complications following laparoscopic hernioplasty. Surg Endosc 9: 16–21

    Google Scholar 

  13. Postlethwait RW (1971) Causes of recurrence after inguinal herniorrhapy Surgery. 69: 772–775

    Google Scholar 

  14. Ryan EA (1953) Recurrent hernias an analysis of 369 consecutive cases of recurrent inguinal and femoral hernias. Surg Gynecol Obstet 96: 343–354

    Google Scholar 

  15. Salcedo-Wasicek M, Thirlby R (1995) Postoperative course after inguinal herniorrhaphy. Arch Surg 130: 29–32

    Google Scholar 

  16. Shulman AG, Amid PK, Lichtenstein I (1992) Plug repair of recurrent inguinal hernias. Contemp Surg 40: 30–33

    Google Scholar 

  17. Shultz L, Graber J, Pietrafitta J, Hickok D (1990) Laser laparoscopic herniorrhaphy: a clinical trial—preliminary results. J Laparoendosc Surg 1: 41–45

    PubMed  Google Scholar 

  18. Stoppa R (1989) The treatment of complicated groin and incisional hernias. World J Surg 13: 545–554

    Google Scholar 

  19. Stoppa R, Rives JL, Walamount C, Palot JP, Verhaege PJ, Delattre JF (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64:(2): 269–285

    Google Scholar 

  20. Tetik C, Arregui ME, Dulucq JL, Fitzgibbons RJ, Franklin ME, McKernan JB, Rosin RD, Shultz LS, Toy FK (1994) Complications and recurrences associated with laparoscopic repair of groin hernias. A multi-institutional retrospective analysis. Surg Endosc 8: 1316–1323

    Google Scholar 

  21. Voeller GR, Mangiante EC, Britt LG (1993) Preliminary evaluation of laparoscopic herniorrhaphy. Surg Laparosc Endosc 3(2): 100–105

    Google Scholar 

  22. Wantz GE (1994) Properitoneal hernioplasty with unilateral giant prosthetic reinforcement of the visceral sac. Contemp Surg 44(2): 83–89

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Center for Hernia Repair, 6191 North Fresno Street, 93710, Fresno, CA, USA

    E. L. Felix, C. A. Michas & M. H. Gonzalez Jr.

Authors
  1. E. L. Felix
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. A. Michas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. H. Gonzalez Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Felix, E.L., Michas, C.A. & Gonzalez, M.H. Laparoscopic hernioplasty. Surg Endosc 9, 984–989 (1995). https://doi.org/10.1007/BF00188456

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00188456

Key words

Search

Navigation